title: Conservative treatment of a gossypiboma causing uterine wound dehiscence.
abstract: We present a rare case with gossypiboma following cesarean section which led to uterine wound dehiscence. A 30-year-old woman had been submitted to an emergency cesarean section 4 months previously at another hospital. Clinical and ultrasound findings revealed a large intra-abdominal mass and diffuse peritonitis. At laparotomy, a gossypiboma causing an abscess and uterine wound dehiscence with necrosis of the margins was detected. We performed repetitive wound debridements under broad-spectrum antibiotic cover and eventually resutured the incision. Although hysterectomy has so far been the choice of treatment in the literature once a uterine wound dehiscence had occurred, it was possible in this case to preserve the uterus.
authors.affiliation: Department of Obstetrics and Gynecology, Bagcilar Training and Research Hospital, 34200 Istanbul, Turkey.
authors.forename: Taner A
authors.initials: TA
authors.lastname: Usta
authors.forename: Dogukan
authors.initials: D
authors.lastname: Yildirim
authors.forename: Sefik E
authors.initials: SE
authors.lastname: Ozyurek
authors.forename: Elif C
authors.initials: EC
authors.lastname: Gundogdu